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Individual
TAMARA CLARE OLSON
Active
Individual
TAMARA CLARE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28143592A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002496A
IN
363LF0000X
Family Nurse Practitioner
71002496A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550637
BCBS MEDPOINT
IN
01
—
000000550790
BCBS BMG MEDPOINT
IN
01
—
000000635078
BCBS BMG CENTRAL NEIGHBORHOOD
IN
05
—
200899990
—
IN
01
—
P00784113
RR MEDICARE
IN
Enumeration date
09/25/2007
Last updated
06/27/2022
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